Claim Adjuster Goals and Objectives Examples
Process a minimum of 20 claims per day.
Meet or exceed the company's average settlement time for claims.
Keep up to date with industry regulations and changes.
Attend at least one industry conference or seminar annually.
Ensure accurate and thorough documentation of all claim files.
Collaborate with other departments to resolve claims efficiently.
Maintain a high level of customer satisfaction through effective communication.
Utilize negotiation skills to settle claims within policy limits.
Identify fraudulent claims and take appropriate action.
Provide timely updates to insureds throughout the claims process.
Participate in weekly team meetings to discuss open claims and trends.
Review medical reports and billings for accuracy.
Meet or exceed productivity metrics set by management.
Seek opportunities to enhance knowledge and skills through training.
Conduct in-person meetings when necessary to investigate claims.
Maintain proper reserves on open claims.
Manage workload effectively to ensure timely resolution of claims.
Provide clear and concise explanations for claim decisions to insureds.
Complete required reports and paperwork in a timely manner.
Follow established protocols for handling subrogation claims.
Identify liability issues early in the claims process.
Build strong relationships with external partners such as attorneys and adjusters.
Follow company guidelines for handling catastrophic claims.
Be available and responsive to insureds' needs and inquiries.
Use data analytics tools to identify trends and opportunities for improvement.
Follow best practices for handling complex claims.
Provide guidance and support to less experienced adjusters.
Develop and maintain an effective network of industry contacts.
Implement strategies to reduce claim cycle time.
Identify cost-saving opportunities during claim investigation.
Use technology tools effectively to manage claims files.
Follow up on outstanding documentation from insureds, witnesses, and medical providers.
Identify opportunities for subrogation recovery on open claims.
Communicate effectively with attorneys representing claimants or insureds.
Use discretion when making settlement decisions outside of policy limits.
Work collaboratively with other departments to implement process improvements.
Build trust and rapport with insureds to facilitate claim resolution.
Attend continuing education courses to enhance knowledge and skills.
Minimize financial exposure to the company through effective claim handling.
Implement strategies to reduce loss adjustment expenses.
Develop and maintain relationships with vendors such as medical providers and auto repair shops.
Follow established company protocols for handling total loss claims.
Ensure compliance with state and federal regulations related to claims handling.
Maintain a high level of accuracy in recording claim information.
Maintain a positive attitude and professionalism during difficult claim investigations.
Implement strategies to prevent future losses based on trends identified in claims data.
Effectively communicate with internal stakeholders such as underwriters and risk managers.
Build a solid understanding of policy language and coverage requirements.
Provide ongoing support and guidance to insureds throughout the claims process.
Maintain a high level of responsiveness to claimants' needs and inquiries.
Conduct thorough investigations of liability and damages in complex claims.
Implement strategies to reduce litigation costs on open claims.
Seek out opportunities to provide exceptional customer service to insureds.
Develop a strong understanding of medical terminology and treatment protocols.
Follow up on outstanding invoices from medical providers and other vendors.
Coordinate with law enforcement and accident investigators as necessary.
Maintain accurate and current claim notes and documentation.
Meet or exceed quality standards set by management.
Consistently follow established guidelines for claims handling.
Identify early settlement opportunities to reduce overall claim costs.
Build relationships with outside experts such as engineers and medical professionals.
Conduct effective interviews with claimants, witnesses, and other parties involved in the claim.
Maintain a high level of attention to detail in claims investigation and analysis.
Implement strategies to prevent future losses based on claims data analysis.
Use negotiation skills effectively to achieve favorable settlements for the company.
Participate in claims reviews and audits to identify opportunities for improvement.
Follow established protocols for handling workers' compensation claims.
Identify potential fraud indicators during claim investigation.
Provide ongoing communication and support to insureds during property damage repairs.
Use technology tools such as virtual inspections to improve claim handling efficiency.
Build relationships with attorneys representing the company in claims litigation.
Implement strategies to manage claim handling costs within budgetary constraints.
Communicate effectively with internal stakeholders such as legal and finance teams.
Build a strong understanding of state-specific laws and regulations related to claims handling.
Foster a positive team environment by sharing best practices and providing feedback to peers.
Develop and maintain relationships with insurance brokers and agents.
Conduct in-person meetings with policyholders to discuss coverage and claim status.
Use empathy and compassion when communicating with injured claimants or family members.
Seek out opportunities to provide proactive risk management services to insureds.
Maintain open lines of communication with management regarding performance metrics and goals.